• 제목/요약/키워드: Research Record

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과거력 의무기록 정보의 기재정도 및 일치도 분석 (A Study on the Level of Medical Record Documentation and Agreement in the Information on the Patient's Past History)

  • 서정숙;유승흠;오현주;김용욱
    • 한국병원경영학회지
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    • 제13권1호
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    • pp.42-64
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    • 2008
  • This study was conducted to evaluate the quality in medical records by analyzing its completeness through setting up the level of record on the patient's past history and through examining the actual medial records. Targeting the information on the patient's past history in interns' records, residents' records and nurses' records toward 403 inpatients who were admitted first in 2004 at an university hospital due to stomach cancer. We analyzed whether the charts were recorded or not, recording level, the satisfaction with the expectant level of the records in the hospital targeted for a research and the level of agreement. The results were as follows; first, as for the rate of recording those each items, they were high in the chief complaint & present illness and the past illness history. Depending on the group of recorders, the recording rate showed big difference by items. Second, as a result of measuring the level after dividing the recording level of items for the patient's past history from Level 1 to Level 4 by each item, the admission history, the past illness history, and the family history were about Level 3, and the smoking history, the medication history, the chief complaint & present illness, the drinking history and allergy were about Level 2. In the admission department, it was excellent in the interns' records for the medical department. Third, as a result of its satisfactory level by comparing the expect level of a record and the actual record by item in information on the patient's past history, which was expected by the medical-record committee members of the hospital targeted for a study. And forth, we analyzed the level of agreement with Kappa score in the level of 'Yes' or 'None' related to the corresponding matter in Level 1, in terms of information on the past history in the intern's record, the resident's record, and the nurse's record. The level of agreement in the resident's record & the nurse's record, and in the intern's record & the resident's record was from "excellent" to "a little good". There were differences in the level of completeness and in reliability for the information on the past history by the recorder group or by the admission department. The encounter process that was performed by the admission department or the recorder group, indicated the result that was directly reflected on the quality of medical records, thus it was required further study about the medical record documentation process and quality of care. The items that showed the high recording rate quantitatively were rather low, consequently we'd should develop the tool for the qualitative inspection and evaluate the medical records further. And the items were needed to be detailed in the record level were rather low, and hence there needed to be a documentation guideline and education by the clinical departments.

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New Record of Pagurus rathbuni (Decapoda: Anomura: Paguridae) from the East Sea, Korea

  • Kim, Mi Hyang;Kim, Jung Nyun;Park, Jin-Ho
    • Fisheries and Aquatic Sciences
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    • 제16권1호
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    • pp.53-56
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    • 2013
  • A pagurid hermit crab, Pagurus rathbuni that was collected from the deep water of the East Sea, Korea, has been newly recorded in the Korean fauna. The present record extends the geographic distribution of the species to Korean waters in the East Sea and extends the bathymetric range to 500 m. Morphological and distributional accounts of this species are presented with illustrations.

특수 보존 기관의 종이 기록물 장기 보존 대책 (Long-Term Preservation Measures of Paper Records of Special Preserving Organization)

  • 신종순;이재수
    • 한국인쇄학회지
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    • 제30권1호
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    • pp.59-69
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    • 2012
  • This study is Long term preservation measures which is closely related to preserving paper records, record condition evaluation, preservation measure and is conducted as follows. As for Means to Evaluate the Deterioration and Damaged Conditions of Records, research and analysis has been made on the contamination and deterioration examples such as damage, dry, stapler, metal, contamination, acidification which are the characteristics of paper record damage types. The of Paper record is one of the key procedures to evaluate the record material and its physi-chemical status in many criteria and to suggest the best preservation method. Between 1970 and 2000, the main record materials was fine paper and OMR paper along with partly newspaper and coarse paper, whereas the main recording material was ball point pen. Overall damage and deterioration status is, for record materials between 1940 and 1960, high deterioration was found and in urgent need for preservation measure and more damages are caused by tapes, staplers and metals. As for records after 1970, there is light deterioration but needs preservation process. There are approximately 3 million records produces before 2000, and assuming that there are 30 pages per record and that 30% has been damaged or deteriorated, 27 million pages are subject to preservation process. Among damaged or deteriorated records, there are large number of records impossible to go through deacidification process so manual preservation and restoration process is necessary as well. Securing manpower having preservation and restoration skills as well as preservation equipment(deacidification process, preservation and restoration) is in urgent need.

유럽의 기록관리 제도 및 체계에 대한 연구 - 영국·프랑스·독일을 중심으로 - (A Study of Record Management system and organization in Europe - Britain, France, Germany -)

  • 송기호;소매실
    • 한국기록관리학회지
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    • 제4권1호
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    • pp.117-147
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    • 2004
  • 본 연구의 목적은 영국 프랑스 독일 등 유럽의 기록관리 제도와 체계를 분석하고 우리의 제도와 비교함으로써 우리가 본받을 장점을 알아보고자 하는데 있다. 이를 위하여 각 국의 기록관리법의 주요 내용과 특징, 기록관리와 보존을 위한 조직과 기구 그리고 전문가 양성제도, 기록관리업무체계 등을 분석하였다. 연구 결과 유럽 3국이 우리의 기록관리제도에 주는 주요한 시사점은 다음과 같다. 첫째, 공공기록물에 대한 연구 목적의 이용을 장려하고 일반인의 열람권을 보장한다. 둘째, 지방기록보존소를 지역문화와 역사연구의 중심지로 활성화한다. 셋째, 기록관리 전문인력의 직렬을 구분하고, 국가수준에서 양성한다. 넷째, 역사적 개인기록물에 대한 수집을 강화하고 보존을 지원한다.

부산·경남지역 의무기록사 직무분석 (A Study on the Job Description of Medical Record Administrator in Busan and Gyeongnam)

  • 정미영;김혜숙;김경나
    • 보건의료산업학회지
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    • 제6권4호
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    • pp.61-72
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    • 2012
  • The purpose of this study was to propose how to improve and develop the college curriculum of medical record administration, satisfying requirements from hospitals having medical record administrators. For the purpose, this researcher surveyed medical record administrators serving at hospitals located in Busan, Changwon, Masan and Jinju. Finally analyzed were responses from 100 medical recorders. The frequency of searching medical records to support information use was statistically different among hospitals according to the number of sick beds(p=.041), or $3.16{\pm}1.75$ for fewer than 300 sick beds, $4.28{\pm}2.42$ for 300 to 500 and $4.86{\pm}3.18$ for more than 500. The college course that was regarded as most important by most of the surveyed medical record administrators, or 53(37.2%) was medical terminology, followed by statistics by 36 of the respondents(18.5%) and EMR, 25(12.8%) in order. To make EMR truly effective requires reforming the university curriculum of medical record administration and giving more attention and more supports to training for better computerization, realizing that medical record administrators serve as a true manager of health and medical information, not a person who just paper-based medical information. In addition to managing health and medical information, medical record administrators are expected to have more roles in the future, for example, providing high-quality clinic knowledge and medical information that are necessary for efficient hospital management and medical research to survive competition.

연구기록물 중 연구노트의 중요성과 관리 제도화 (Importance and Management of the Laboratory Notebooks in the Research Record)

  • 김상준
    • 정보관리연구
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    • 제39권2호
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    • pp.45-74
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    • 2008
  • 본 연구는 기록 정보 커뮤니케이션 증거적 기능을 보유한 연구노트의 중요성과 연구기록 물적 성격을 규명하여 연구윤리와 연구문화를 개선시키기 위한 올바른 연구노트 관리 제도화 방향을 알아보기 위해 시작되었다. 이를 위해 문헌분석과 설문분석으로 국내외 연구기관의 연구노트 제도, 서면 연구노트와 기록물관리, 전자 연구노트의 도입과 디지털 기록물로 나누어 국내 연구노트의 현황을 점검하였다. 연구노트가 법적 분쟁에 말려들 가능성, 증거적 요건 구비와 점검자의 서명, 자율적인 연구노트제도 운영의 한계, 30년간 보존의 어려움, 전자 연구노트 도입과 활용도 제고 등에 대해서는 연구노트 제도화를 위해 추가 검토가 필요하다. 연구결과 연구기관의 지식관리와 증거적 가치를 위한 연구노트 제도화, 관리부서의 예산확보는 물론 홍보 및 교육과 함께 공동 협력 대응, 특허나 기술이전과 관련시켜 연구노트에 대한 연구원들의 인식 전환, 지속적인 연구노트 작성 교육을 대학교에서부터 실시, 전자 연구노트를 연구실업무전산화시스템이나 연구과제관리시스템과 연계해 도입해야만 바람직한 연구노트 관리와 제도화가 가능하다.

New Record of Nomeus gronovii (Pisces: Nomeidae) from Korea

  • Lee, Soo Jeong;Kim, Jin-Koo;Lee, Won-Chan;Kim, Jeong Bae;Kim, Hyung Chul
    • Fisheries and Aquatic Sciences
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    • 제18권3호
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    • pp.317-320
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    • 2015
  • A new record of Nomeus gronovii is described here based on a single specimen collected off the Jeju Island, Korea. The species has a blotched and spotted pattern on the body, 41 vertebrae, and a large pectoral fin with a white lower part. A molecular analysis of the partial (500 bp) cytochrome c oxidase subunit I gene showed that this specimen is closely related to specimens of N. gronovii collected in South Africa (Kimura-two-parameter distance = 0.006-0.012). A new Korean name, "Ga-neun-dong-gang-yeon-chi", is proposed for this species.

제주도 문섬 주변해역에서 채집된 망둑어과 한국미기록종, Eviota melasma (First Record of the Gobiid Fish Eviota melasma (Perciformes: Gobiidae) from Korea)

  • 김병직;최승호;이영돈
    • 한국어류학회지
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    • 제17권3호
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    • pp.221-224
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    • 2005
  • 스쿠바다이빙에 의한 제주도 남부해역에 위치한 문섬 주변해역의 어류상을 조사하던 중 수심 약 13 m에서 망둑어과의 풀비늘망둑속 Eviota에 속하는 한국미기록종 어류 3개체를 채집하였다. 본 종은 후두부에 1쌍의 큰 흑점이 있고, 등쪽 정중선을 따라 흑점이 없는 점에서 E. melasma로 동정되었다. 제주도 문섬 주변해역에서의 출현은 지금까지 알려진 본 종의 최고 북방기록이며, 본 종의 국명은 '흑점풀비늘망둑'이라고 명명하였다.

New Korean record of the Banded Driftfish, Psenes arafurensis (PISCES: Nomeidae)

  • Lee, Woo Jun;Ryu, Jung-Hwa;Yoon, Moongeun;An, Hye Suck;Woo, Jiyoung;Tashiro, Fumihito;Kim, Jin-Koo
    • Fisheries and Aquatic Sciences
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    • 제19권1호
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    • pp.6.1-6.5
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    • 2016
  • Psenes arafurensis, belonging to the family Nomeidae, is described based on four specimens (184.8-199.0 mm in standard length) collected from Korea. The species is most similar to the congeneric species P. maculatus and P. pellucidus, but differs from them in the number of lateral-line scales. (44-47 in P. arafurensis vs 67-70 in P. maculatus and 120 in P. pellucidus) and the number of vertebrae (31 in P. arafurensis vs 34-38 in P. maculatus and 40-42 in P. pellucidus). The present study is a new record of P. arafurensis with voucher specimens from Korean waters.

한국에서 출현한 실고기과(실고기목) 미기록종, Hippocampus sindonis (First Record of Hippocampus sindonis (Syngnathiformes: Syngnathidae) from Korea)

  • 김성용;권선만;최승호
    • 한국어류학회지
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    • 제25권1호
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    • pp.42-45
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    • 2013
  • 거문도 연안에서 채집된 해마속의 어류를 근거로 Hippocampus sindonis를 한국에서의 미기록종으로 보고하였다. 본 종은 등지느러미 기조수 15개, 가슴지느러미 기조수 14개이며, 10개의 몸통 체륜과, 37개의 꼬리 체륜 등을 가지는 특징에 의해 국내의 유사종과 구별되며, 국명은 "신도해마"로 명명하였다.